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Table 3 Bevacizumab plus chemotherapy versus chemotherapy

From: Targeted therapies in breast cancer: are heart and vessels also being targeted?

Study

Treatment

Line of therapy

Number of patients

Hypertension (grade 3 or 4) (%)

CHF NYHA class III or IV (%)

Thrombotic events (grade 3 or 4) (%)

Miller et al. [110]

Capecitabine + bevacizumab versus capecitabine

1, 2, 3

462

G3: 17.9 versus 0.5 G4: 0 versus 0

G3: 2.2 versus 0

G4: 0.5 versus 0

Thrombotic event - general G3: 2.2. versus 0

G4: 0.5 versus 0

Miller et al. [58]

Paclitaxel + bevacizumab versus paclitaxel

1

722

G3: 14.5 versus 0

G4: 0.3 versus 0

P = 0.001

LV dysfunction

G3: 0.8 versus 0

G4: 0 versus 0.3

P = NS

Cerebrovascular ischemia G3: 0.8 versus 0

G4: 1.1 versus 0

P = 0.02

Miles et al. (AVADO) [73]

Docetaxel + bevacizumab (7.5 mg/kg) versus docetaxel + placebo

1

736

Grade 3 to 4: 0.8 versus 1.3

Grade 3 to 4: 1.2 versus 0

No G3-4 arterial events

 

Docetaxel + bevacizumab (15 mg/kg) versus docetaxel+ placebo

  

Grade 3 to 4: 4.5 versus 1.3

Grade 3 to 4: 0 versus 0

Arterial events

G3: 0 versus 0

G4: 0.8 versus 0

Robert et al. (RIBBON-1) [60]

Capecitabine plus bevacizumab versus capecitabine

1

605

Grade 3 to 4: 9.4 versus 1.0

LV dysfunction Grade 3 to 4: 1.0 versus 0.5

Venous events

4.8 versus 3.5

 

Taxane + bvacizmaversus taxane

 

405

Grade 3 to 4: 8.9 versus 2.0

LV dysfunction

Grade 3 to 4: 2.0 versus 0

Venous events

2.0 versus 4.9

 

Anthracycline + bevacizumb versus anthracycline

 

310

Grade 3 to 4: 10 versus 0

LV dysfunction

Grade 3 to 4: 2.9 versus 0

Venous events

2.9 versus 1.0

Brufsky et al.

(RIBBON-2) [72]

Chemotherapya + bevacizumab versus bevacizumab

2

684

Grade 3 to 4: 9 versus 0.5

LV dysfunction Grade 3 to 4: 0.9 versus 0

Arterial events

Grade 3 to 4: 0.7 versus 1.4

  1. aPrior to randomization, the investigators could choose among one of the following chemotherapy regimens: paclitaxel, nab-paclitaxel, gemcitabine, capecitabine and vinorelbine. CHF, congestive heart failure; G, grade; NS, not significant; NYHA, New York Heart Association.